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LAURENCE CLOUTIER-CHAMPAGNE DPM
NPI 1811254725
Podiatrist - Foot & Ankle Surgery in New York, NY

Active since April 16, 2012PECOS EnrolledAccepts Medicare Assignment
81 W 115TH ST, NEW YORK, NY 10026(212) 426-0088(212) 426-8367 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laurence Cloutier-champagne Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURENCE CLOUTIER-CHAMPAGNE DPM (NPI 1811254725) is an individual foot & ankle surgery provider in New York, New York, licensed in New York (N006470-1) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2009).

NPPES Registry Identity

NPI1811254725
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameLAURENCE CLOUTIER-CHAMPAGNECredential: DPM
Location Address81 W 115TH STNew York, NY 10026-3138
Mailing Address60 Madison Ave, 5thNew York, NY 10010-1600 · (212) 545-2400
Phone(212) 426-0088
Fax(212) 426-8367
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2009
Enumeration DateApril 16, 2012
Last NPPES UpdateApril 15, 2014
✔ NPI 1811254725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NY · N006470-1
81 W 115TH ST, New York, NY 10026
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Other Identifiers 6

Medicare OSCAR/certification331947NY
Medicare OSCAR/certification331978NY
Medicare OSCAR/certificationG100000410NY
Medicaid00695941NY
Medicare OSCAR/certification331946NY
Medicare OSCAR/certificationW6L111NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laurence Cloutier-champagne Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890924369
PECOS Enrollment IDI20140203000317
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALDINE HERISSE MS, RD, CDN
Dietitian, Registered
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
DR. AMILCAR ARNALDO TIRADO MD
Psychiatry & Neurology (Forensic Psychiatry)
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
CAROLINE OLIVIA SOLOWAY LMSW
Social Worker
81 W 115TH ST
NEW YORK, NY 10026
New York County (505) 690-2296
DR. PETER JON TESLER MD
Pediatrics
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
COMMUNITY HEALTHCARE NETWORK INC
Clinic/Center (Federally Qualified Health Center (FQHC))
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
ALEKSANDRA JOANNA WASILEWSKA LMSW
Social Worker
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
JENNY GREEN WALKER MD
Family Medicine
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
LIBBY KEEN BRUBAKER DO
Family Medicine
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurence Cloutier-champagne's NPI number?

The NPI number for Laurence Cloutier-champagne is 1811254725. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Laurence Cloutier-champagne located?

Laurence Cloutier-champagne practices at 81 W 115th St, New York, NY 10026. The listed phone number is (212) 426-0088.

What is Laurence Cloutier-champagne's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Laurence Cloutier-champagne enrolled in Medicare?

Yes. Laurence Cloutier-champagne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Laurence Cloutier-champagne was last updated on April 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.